Influenza tracking: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
mNo edit summary
 
(52 intermediate revisions by 8 users not shown)
Line 1: Line 1:
{{Project
{{Project
| Project = {{PAGENAME}}
|ProjectActive=legacy
| ProjectActive = active
|ProjectProgram=CC and Med
| ProjectProgram = CC or Med  
|ProjectRequestor=Myrna Dyck
| ProjectRequestor = Critical Care QI Team
|ProjectCollectionStartDate=2017-10-01
}}  
|ProjectCollectionStopDate=2018-07-25
  See also: [[Influenza treated]]
|Project={{PAGENAME}}
}}
{{LegacyContent
|explanation=2017/8 flu season ended; we collect this differently than the requestor so future collection makes no sense.STOPPED for 18/19 season.
|successor=[[Influenza in ICD10]]
|content=


[[Hemophilus influenzae]][https://en.wikipedia.org/wiki/Haemophilus_influenzae] or [[Parainfluenza virus]] is '''not''' considered as [[Influenza in ICD10|Influenza]].
 
See also: [[Influenza treated]]
 
== Dates ==
* Start Date: 2017 Oct  (only Final Cadham lab +ve test).
**Change date: 2017 Dec 21  (positive tests that were TX'd or not with antiviral meds or negative tests that were TX with antiviral med)
* Stop Date: 2018 July 25
**Stop sending to Myrna Dyck & Trish:  May 4, 2018'''.  This is the end of the peak flu season for 2017-18.
 
*Prior to Oct 2017:  There were six (6) audited Influenza cases found with positive culture were also entered in the Tmp Project Influenza.
 
[[Hemophilus influenzae]][https://en.wikipedia.org/wiki/Haemophilus_influenzae] or [[Parainfluenza virus]] is '''not''' considered as [[Influenza in ICD10|Influenza]].


==Data Collection Instructions==
==Data Collection Instructions==
For any '''critical care''' or '''medicine''' patient who has [[Tracheobronchitis]] or '''Pneumonia''' or any infection with [[Influenza virus]] enter the following in tmp:  
For any patient who has [[Tracheobronchitis]] or '''Pneumonia''' or any infection with [[Influenza virus]] enter the following in tmp:  
*Project: Influenza
*'''Project''': Influenza
*Item:  
*'''Item''':  
** if '''Influenza confirmed''', enter: '''positive culture''' ('''FINAL cadham confirmed - until further notice''')[[User:TOstryzniuk|Trish Ostryzniuk]] 16:42, 2017 December 21 (CST) 
** if '''Influenza CONFIRMED''' (FINAL Cadham confirmed), enter: '''POSITIVE culture'''  
**'''Date''': date of first positive culture taken  
*** Date: date of first positive culture taken  
**'''Time''': time of first positive culture taken
*** Time: time of first positive culture taken
** email Myrna Dyck, Epidemiologist, Infection Prevention & Control  '''AND''' '''[[p:Trish Ostryzniuk | Trish]]'''- '''ONLY if CONFIRMED'''
** if '''Influenza SUSPECTED''', enter: '''SUSPECTED'''
***Use the: [["generate email" button]]
*** Date:  when culture was taken
** if '''Influenza suspected''', enter: '''suspected'''
*** Time:  when culture was taken
***'''Date''':  when culture was taken
**if '''Cadham lab test is NEGATIVE''' (subsequently '''final''' Cadham lab reports found to be negative), enter: '''NEGATIVE'''
***'''Time''':  when culture was taken
ALSO:
**if '''test is negative''' (subsequently '''final''' Cadham lab reports found to be negative), enter: '''negative'''
*If '''TREATED with any flu drug,''' go to TMP:
**'''Project:''' [[Influenza treated]]


*'''If treated with any flu drug see TMP project: [[Influenza treated]]'''
===emailing Myrna/trish===
*when positive ''with'' treatment
*when positive ''without'' treatment
*when suspected & treated
*when negative but was treated
**treated means [[Influenza_in_ICD10#What_is_a_full_course_of_Antiviral_Treatment.3F | full course of treatment]].'''
 
===When NOT necessary to email Myrna/Trish ===
confirmed to have a negative result from FINAL Cadham Lab and ALSO was NOT treated with [[Influenza_in_ICD10#What_is_a_full_course_of_Antiviral_Treatment.3F | full course of treatment]] with antiviral drug.  (even if originally thought to be suspect and specimens were sent)
 
====Do not delete from TMP====
'''Do not delete from CCMDB Tmp project''', any of your suspected cases that have been confirmed to be negative from Cadham Lab, treated or not treated. 
 
=== How long do we give Cadham to come back with results? ===
Give Cadham Lab''' 2 WEEKS''' from the time the culture was sent to come back with final results. If no results then, enter as '''suspect''' and '''send email to Myrna and [[p:Trish Ostryzniuk | Trish]]'''.
*I was just speaking with the nurse from infection control here at the HSC. I was asking why some patient's results are coming up on EPR, while some are only found on e-chart. She told me that at HSC, our in house lab will run the test, and then send the sample off to Cadham lab for further testing. The DSM result is the result that shows up on EPR. The Cadham result will show up on E-chart (also will send a paper copy to add to the patient's chart). Interestingly, one result may turn up positive, while the other reads negative (in this case,the positive result is taken). Just thought I would share, as it helped clear up some confusion for me, and I now know to check both sources when possible.[[User:Mlagadi|Mlagadi]] 11:31, 2018 January 11 (CST)


=== Don't use TMP as notes ===
=== Don't use TMP as notes ===
Please do not enter this TMP until you have actually confirmed positive influenza culture. Use the [[Notes field]] on you laptop as a reminder if needed.  
Please do not enter this TMP until you have actually confirmed positive influenza culture. Use the [[Notes field]] on you laptop as a reminder if needed.  


{{Discussion}}
=== Definition is known to be different from ICD10/WHO/CDC etc ===
{{Discuss@task | Different definitions from [[Influenza in ICD10]]. 1. Which definition is the one we will use?}}
The definition of collection for this tmp study is known to be different from definitions used elsewhere. Please use this definition for this tmp study. If the definition is '''not clear''', as usual please ask for confirmation.
*[[p:Dr. Allan Garland]] copied the following segment from [[Influenza in ICD10]], It gives a different definition of Suspected Influenza: 
**Suspected influenza -- here the clinical team wrote believed that it was influenza and gave a “full course” of anti-influenza drug PLUS either:
***(a) no lab test was sent at all, or
***(b) the final Cadham test result was negative.
*For influenza that this not severe, the usual course of oseltamivir (Tamiflu) is 5 days. But WHO and CDC recommend that in severe cases the drug should be continued until the infection is resolved or there is satisfactory clinical improvement.


=== Purpose and reporting ===
=== What if test was done at previous site? ===
The Infection Prevention & Control releases summary report of influenza statistics every Influenza season and the Critical Care Directors would like to make sure that the reported statistics at ICU are consistent with the Critical Care & Medicine Database. The two programs agreed to collaborate by communicating the incidence of influenza as it occurs. 
When the swab was sent at another site and that result is not on the chart or in the EPR, code as '''suspect''' and '''email Myrna and Trish'''


=== Dates ===
== Purpose and reporting ==
* Start Date: October 2017
The Infection Prevention & Control releases summary report of influenza statistics every Influenza season and the Critical Care Directors would like to make sure that the reported statistics at ICU are consistent with the Critical Care & Medicine Database. The two programs agreed to collaborate by communicating the incidence of influenza as it occurs.  
**Prior to Oct 2017 -  The six (6) audited Influenza cases found with positive culture were also entered in the Tmp Project Influenza.  
*2018 July 25: further meeting and discussions, [[p:Dr Allan Garland]] with Dr. Boyan Paunavic and IPC has lead to stopping this project. We have different purposes and thus different definitions.  For more info, see:[[Influenza_in_ICD10#Difference_between_WRHA_.26_our_ICD10_Influenza_definition | Difference between WRHA & ICD10 influenza definition]]
* End Date: indefinite


== {{CCMDB Data Integrity Checks|needs review}} ==
{{Data Integrity Check List|}}
See [[Influenza_in_ICD10#CCDMB_Data_Integrity_Checks]]


== checklist / to do ==
== checklist / to do ==
Line 51: Line 77:
* add to s_tmp
* add to s_tmp
* inter-link with relevant articles
* inter-link with relevant articles
== Gov of MB Public Health Surveillance ==
General info only, nothing to do with this tmp study.
[http://www.gov.mb.ca/health/publichealth/surveillance/influenza/index.html  Government MB-Public Health influenza surveillance web page]


== Related Articles ==
== Related Articles ==
{{Related Articles}}
{{Related Articles}}
== Gov of MB Public Health Surveillance ==
[http://www.gov.mb.ca/health/publichealth/surveillance/influenza/index.html  Government MB-Public Health influenza surveillance web page]




[[Category: QAInfection]]
}}
[[Category: L_TmpV2 Data]]
[[Category: QA]]
[[Category: Influenza]]

Latest revision as of 23:32, 2019 January 2

Projects
Active?: legacy
Program: CC and Med
Requestor: Myrna Dyck
Collection start: 2017-10-01
Collection end: 2018-07-25

Legacy Content

This page contains Legacy Content.
  • Explanation: 2017/8 flu season ended; we collect this differently than the requestor so future collection makes no sense.STOPPED for 18/19 season.
  • Successor: Influenza in ICD10

Click Expand to show legacy content.

See also: Influenza treated

Dates

  • Start Date: 2017 Oct (only Final Cadham lab +ve test).
    • Change date: 2017 Dec 21 (positive tests that were TX'd or not with antiviral meds or negative tests that were TX with antiviral med)
  • Stop Date: 2018 July 25
    • Stop sending to Myrna Dyck & Trish: May 4, 2018. This is the end of the peak flu season for 2017-18.
  • Prior to Oct 2017: There were six (6) audited Influenza cases found with positive culture were also entered in the Tmp Project Influenza.

Hemophilus influenzae[1] or Parainfluenza virus is not considered as Influenza.

Data Collection Instructions

For any patient who has Tracheobronchitis or Pneumonia or any infection with Influenza virus enter the following in tmp:

  • Project: Influenza
  • Item:
    • if Influenza CONFIRMED (FINAL Cadham confirmed), enter: POSITIVE culture
      • Date: date of first positive culture taken
      • Time: time of first positive culture taken
    • if Influenza SUSPECTED, enter: SUSPECTED
      • Date: when culture was taken
      • Time: when culture was taken
    • if Cadham lab test is NEGATIVE (subsequently final Cadham lab reports found to be negative), enter: NEGATIVE

ALSO:

emailing Myrna/trish

  • when positive with treatment
  • when positive without treatment
  • when suspected & treated
  • when negative but was treated

When NOT necessary to email Myrna/Trish

confirmed to have a negative result from FINAL Cadham Lab and ALSO was NOT treated with full course of treatment with antiviral drug. (even if originally thought to be suspect and specimens were sent)

Do not delete from TMP

Do not delete from CCMDB Tmp project, any of your suspected cases that have been confirmed to be negative from Cadham Lab, treated or not treated.

How long do we give Cadham to come back with results?

Give Cadham Lab 2 WEEKS from the time the culture was sent to come back with final results. If no results then, enter as suspect and send email to Myrna and Trish.

  • I was just speaking with the nurse from infection control here at the HSC. I was asking why some patient's results are coming up on EPR, while some are only found on e-chart. She told me that at HSC, our in house lab will run the test, and then send the sample off to Cadham lab for further testing. The DSM result is the result that shows up on EPR. The Cadham result will show up on E-chart (also will send a paper copy to add to the patient's chart). Interestingly, one result may turn up positive, while the other reads negative (in this case,the positive result is taken). Just thought I would share, as it helped clear up some confusion for me, and I now know to check both sources when possible.Mlagadi 11:31, 2018 January 11 (CST)

Don't use TMP as notes

Please do not enter this TMP until you have actually confirmed positive influenza culture. Use the Notes field on you laptop as a reminder if needed.

Definition is known to be different from ICD10/WHO/CDC etc

The definition of collection for this tmp study is known to be different from definitions used elsewhere. Please use this definition for this tmp study. If the definition is not clear, as usual please ask for confirmation.

What if test was done at previous site?

When the swab was sent at another site and that result is not on the chart or in the EPR, code as suspect and email Myrna and Trish

Purpose and reporting

The Infection Prevention & Control releases summary report of influenza statistics every Influenza season and the Critical Care Directors would like to make sure that the reported statistics at ICU are consistent with the Critical Care & Medicine Database. The two programs agreed to collaborate by communicating the incidence of influenza as it occurs.

Data Integrity Checks (automatic list)

none found

checklist / to do

  • confirm documentation details above
  • add to s_tmp
  • inter-link with relevant articles

Gov of MB Public Health Surveillance

General info only, nothing to do with this tmp study.

Government MB-Public Health influenza surveillance web page

Related Articles

Related articles:
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Influenza_tracking&oldid=132869"